Individual provider Active NPI

Erik Wagner Nielsen, M.D.

  • Otolaryngology Physician
  • Findlay, OH
National Provider Identifier
1003803834
Registry record updated Sep 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
35068827 Issued in OH
Practice address
1110 W Main Cross St
Findlay, OH 45840-2423
Phone
(419) 424-1393
Fax
(419) 424-3424
NPI assigned
Oct 6, 2005
Last updated
Sep 17, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 35068827 OH Primary

Addresses

Primary practice location

1110 W Main Cross St
Findlay, OH 45840-2423

Mailing address

1110 W Main Cross St
Findlay, OH 45840-2423
Phone (419) 424-1393

Other identifiers 2

IdentifierTypeStateIssuer
0159555MedicaidOH
000000283044OtherOHBLUE CROSS BLUE SHIELD NO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040407000934 OH Practitioner - OtolaryngologyPractitioner - Internal Medicine 4082607767 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Internal Medicine
Education
Wayne State University School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialty Physicians of Blanchard Valley LLCGroup PAC ID 2668547613, 117 clinicians

Practice addresses (Care Compare)

1110 W Main Cross St
Findlay, OH 45840-2423
Phone (419) 423-5492

1900 S Main St
Findlay, OH 45840-1214

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
71.66 of 100Reported as group
Quality
52.4
Promoting interoperability
84
Improvement activities
40
Cost
66.45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35068827OHMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Physicians of Blanchard Valley LLC Otolaryngology CurrentSince Jul 11, 2017 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1110 W Main Cross St
Findlay, OH 45840
Phone (419) 423-5492

1900 S Main St
Findlay, OH 45840
Phone (419) 423-4500

19 W Market St
Ste E
Tiffin, OH 44883
Phone (419) 423-5492

Networks

  • devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
  • OH PPO

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253145600000",
    "number": "1003803834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 W MAIN CROSS ST",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458402423",
            "telephone_number": "419-424-1393",
            "fax_number": "419-424-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 W MAIN CROSS ST",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458402423",
            "telephone_number": "419-424-1393",
            "fax_number": "419-424-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "ERIK",
        "middle_name": "WAGNER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2009-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OH",
            "license": "35068827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0159555",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD NO",
            "identifier": "000000283044",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Findlay, OH

Sources for this page

Verify at the official NPI Registry.